| Shannon Opel Swift, PA-C | |
|
2301 S Oneida St, Ashwaubenon, WI 54304-5230 | |
| (920) 497-7783 | |
| (920) 497-7789 |
| Full Name | Shannon Opel Swift |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2301 S Oneida St, Ashwaubenon, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598146623 | NPI | - | NPPES |
| 100047539 | Medicaid | WI | |
| K400239771 | Other | WI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 3632 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Opel Swift, PA-C Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Shannon Opel Swift, PA-C 2301 S Oneida St, Ashwaubenon, WI 54304-5230 Ph: (920) 497-7783 |
Rachel Leeann Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2502 S Ashland Ave, Ashwaubenon, WI 54304 Phone: 920-496-4700 |